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This is VAERS ID 31712

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 31712
VAERS Form:
Age:40.0
Sex:Female
Location:California
Vaccinated:1990-07-01
Onset:1990-07-09
Submitted:1991-06-17
Entered:1991-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: UNK. TETANUS TOX / UNCLASSIFIED - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: DIZZINESS, ARTHRALGIA, PAIN, PAIN EAR, EMOTION LABIL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Branchial Nueroplexy
CDC 'Split Type':

Write-up: Pain in arm (not in the one where the shot was administered), dizziness, earache, feeling out-of-it, felt would lose contol of arms, achiness in joints;


Changed on 12/8/2009

VAERS ID: 31712 Before After
VAERS Form:
Age:40.0
Sex:Female
Location:California
Vaccinated:1990-07-01
Onset:1990-07-09
Submitted:1991-06-17
Entered:1991-06-27 1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: UNK. TETANUS TOX TETANUS TOXOID (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Arthralgia, Dizziness, Ear pain, Pain, Affect lability, DIZZINESS, ARTHRALGIA, PAIN, PAIN EAR, EMOTION LABIL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Branchial Nueroplexy
CDC 'Split Type':

Write-up: Pain in arm (not in the one where the shot was administered), dizziness, earache, feeling out-of-it, felt would lose contol of arms, achiness in joints;


Changed on 5/14/2017

VAERS ID: 31712 Before After
VAERS Form:
Age:40.0
Sex:Female
Location:California
Vaccinated:1990-07-01
Onset:1990-07-09
Submitted:1991-06-17
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Dizziness, Ear pain, Pain, Affect lability

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Branchial Nueroplexy
CDC 'Split Type':

Write-up: Pain in arm (not in the one where the shot was administered), dizziness, earache, feeling out-of-it, felt would lose contol of arms, achiness in joints;


Changed on 9/14/2017

VAERS ID: 31712 Before After
VAERS Form:(blank) 1
Age:40.0
Sex:Female
Location:California
Vaccinated:1990-07-01
Onset:1990-07-09
Submitted:1991-06-17
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Dizziness, Ear pain, Pain, Affect lability

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Branchial Nueroplexy
CDC 'Split Type':

Write-up: Pain in arm (not in the one where the shot was administered), dizziness, earache, feeling out-of-it, felt would lose contol of arms, achiness in joints;


Changed on 2/14/2018

VAERS ID: 31712 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:1990-07-01
Onset:1990-07-09
Submitted:1991-06-17
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Dizziness, Ear pain, Pain, Affect lability

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Branchial Nueroplexy
CDC 'Split Type':

Write-up: Pain in arm (not in the one where the shot was administered), dizziness, earache, feeling out-of-it, felt would lose contol of arms, achiness in joints;


Changed on 6/14/2018

VAERS ID: 31712 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:1990-07-01
Onset:1990-07-09
Submitted:1991-06-17
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Dizziness, Ear pain, Pain, Affect lability

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Branchial Nueroplexy
CDC 'Split Type':

Write-up: Pain in arm (not in the one where the shot was administered), dizziness, earache, feeling out-of-it, felt would lose contol of arms, achiness in joints;


Changed on 8/14/2018

VAERS ID: 31712 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:1990-07-01
Onset:1990-07-09
Submitted:1991-06-17
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Dizziness, Ear pain, Pain, Affect lability

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Branchial Nueroplexy
CDC 'Split Type':

Write-up: Pain in arm (not in the one where the shot was administered), dizziness, earache, feeling out-of-it, felt would lose contol of arms, achiness in joints;


Changed on 9/14/2018

VAERS ID: 31712 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:1990-07-01
Onset:1990-07-09
Submitted:1991-06-17
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Dizziness, Ear pain, Pain, Affect lability

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Branchial Nueroplexy
CDC 'Split Type':

Write-up: Pain in arm (not in the one where the shot was administered), dizziness, earache, feeling out-of-it, felt would lose contol of arms, achiness in joints;


Changed on 10/14/2018

VAERS ID: 31712 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:California
Vaccinated:1990-07-01
Onset:1990-07-09
Submitted:1991-06-17
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Dizziness, Ear pain, Pain, Affect lability

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Branchial Nueroplexy
CDC 'Split Type':

Write-up: Pain in arm (not in the one where the shot was administered), dizziness, earache, feeling out-of-it, felt would lose contol of arms, achiness in joints;

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